People with chronic obstructive pulmonary disease have sedentary life style due to the clinical course of their disease.Although there is current update on physical activity measurement tool, has anyone have used motivational stratergies to improve physical activity in those patients?
Dear Shakila,
Currently, I am working on the 'Rehabilitation, Sport and Active lifestyle' (ReSpAct) study. This is a multicenter, longitudinal cohort study in The Netherlands that evaluates a physical activity and sport stimulation program. The program aims to stimulate an active lifestyle in persons with a physical disability and/or chronic disease subsequent to the rehabilitation period.
Also patients with COPD have the opportunity to participate in the program when receiving treatment in a hospital or rehabilitation center that offers the program. An important part of the program consists of tailored counseling based on motivational interviewing (MI). These counseling sessions are offered by a 'Sports Counseling Center' within the hospital of rehab center.
Patients receive one face-to-face conversation and four telephone counseling calls by a counselor. During patient contact, the counselor makes use of MI. With the different conversations, patients are supported and guided in maintaining an active lifestyle in the home environment. The stages of change serve as the basis of the conversations and help the counselor to guide patients in their process of physical activity behavioural change.
The first publication on the ReSpAct study can be found here:
http://www.implementationscience.com/content/9/1/127
We are currently working on an article with a more detailed description of the program.
Other interesting publications on a similar physical activity and sports stimulation program based on tailored counseling are:
van der Ploeg HP, Streppel KR, van der Beek AJ, et al. Successfully improving physical activity behavior after rehabilitation. Am J Health Promot. 2007;21(3):153-59.
van der Ploeg HP, Streppel KR, van der Beek AJ, et al. Underlying mechanisms of improving physical activity behavior after rehabilitation. Int J Behav Med. 2008;15(2):101-08.
Dear Shakila,
Patients with COPD, like any other patient needs also to be evaluated with the psychological aspect. The motivation to do the activities involves private care for each person and have a diffetent way to obtain successful with the treatment. Often a good conversation or show the environment in which it will make its activities along with other people with the same problem, gives good results. The incentive for the realization of activities is also critical to the success. Finally, the professional must feel as each patient reacts to the stimuli in order to accomplish the goals. Good luck for you!
Working with COPD patients in the hospital in the rehabilitation setting has shown me that you really need to help them realize the small goals in what they are doing. Depending on the severity of the disease and how far it has progressed, they may not be able to regain all of their prior level of function that they had 10 years ago. By pointing out the little successes and encouraging them to continue, I have found the best success.
Thank you all for your response.Very interested in the little gadgets-pedometers as Maree fatouros mentioned.We are preparing for piloting similar pedometers in our programme.Does anyone favour any particular pedometer with high reliability and cost effective?
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